Individual
DR. SUSANNAH LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
339 NW 9TH AVE, PORTLAND, OR 97209
(503) 219-0023
(503) 219-0024
Mailing address
339 NW 9TH AVE, PORTLAND, OR 97209-3306
(503) 219-0023
(503) 219-0024
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3632AT
OR
Other
Enumeration date
07/31/2015
Last updated
03/12/2019
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